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A C van Steirteghem

Publications and source records attributed to A C van Steirteghem.

10 recordsLinked to original sources

High survival rate of one-cell mouse embryos cooled rapidly to -196 degrees C after exposure to a propylene glycol-dimethylsulfoxide-sucrose solution.

We investigated the effect of duration of exposure at 22 degrees C to a solution containing dimethylsulfoxide (Me2SO), propylene glycol (PROH), and sucrose on the survival rate of one-cell mouse embryos cooled rapidly to -196 degrees C. The cryoprotectant solutions were made up on a molar basis and six different times of exposure were tested (1, 2.5, 5, 10, 15, and 20 min). After rapid thawing and dilution in a 1 M sucrose solution the survival rate was calculated as the number of hatching or hatched blastocysts formed per frozen-thawed and recovered one-cell embryo. We demonstrated that the optimum time of exposure depends on the type of cryoprotectant solution used. The optimum time of exposure was 1 min when a 4.5 M PROH-0.25 M sucrose solution was used, 2.5 min when a 2.25 M PROH-2.25 M Me2SO-0.25 M sucrose solution was used, and 5 min when a 4.5 M Me2SO-0.25 M sucrose solution was used. For prolonged exposure times beyond the optimum, survival rates were the highest when solutions containing 2.25 M PROH-2.25 M Me2SO-0.25 M sucrose were used. To identify factors that may influence the survival rates, we carried out further experiments on one-cell embryos in the different cryoprotectant solutions. We evaluated (i) the survival rates after exposure without freezing and (ii) the volume changes during exposure. It is suggested that the optimum time of exposure to a cryoprotectant solution depends on cryoprotectant permeation and that detrimental effects after prolonged exposure are a consequence of chemical toxicity. When one-cell mouse embryos were exposed for 3 min to a solution containing 2.25 M PROH-2.25 M Me2SO-0.25 M sucrose before rapid cooling to -196 degrees C, 98% of the zygotes were morphologically intact after rapid thawing. There was no further loss in viability during in vitro culture on after transfer in vivo as compared to unfrozen control embryos.

Animals↗

Comparison of four mechanical methods to retrieve spermatozoa from testicular tissue.

To maximize the total number of spermatozoa which can be retrieved from a testicular biopsy, four mechanical methods for preparation were compared. In all, 17 biopsies were divided into four equal fractions, which were weighed individually and prepared by rough shredding (control), fine mincing, vortexing and crushing (electrical Potter). After resuspension in an erythrocyte-lysing buffer, removal of the remaining tissue pieces, washing and centrifugation, the following parameters were evaluated: number of spermatozoa per 100 mg tissue, percentage motility, percentage vitality and percentage normal morphology (strict Kruger criteria). After further purification by discontinuous Percoll centrifugation, the same parameters were assessed again. This procedure was efficient in obtaining only spermatozoa in the final fraction. Before Percoll centrifugation, only minor differences between methods were observed. Percoll centrifugation generally resulted in a pronounced loss of sperm cells, partly because of the abnormal dimensions of the eliminated cells. After Percoll centrifugation, treatment of the testicular tissue by fine mincing was the most effective method in terms of the total number of motile spermatozoa and percentage normal morphology.

Adult↗

Bilateral salpingectomy does not compromise ovarian stimulation in an in-vitro fertilization/embryo transfer programme.

The question whether salpingectomy has a negative influence on ovarian function and the outcome of pregnancy in an in-vitro fertilization (IVF) and embryo transfer treatment programme is not yet answered. We performed a retrospective case-control study to investigate the possible negative effect of salpingectomy on ovarian response to human menopausal gonadotrophins (HMG) during IVF and embryo transfer. The study group was composed of 26 patients with bilateral salpingectomy. In 67 cycles we analysed different parameters of ovulation such as the number of days of ovarian stimulation, numbers of ampoules of HMG, pre-ovulatory oestradiol concentrations and the numbers of oocytes retrieved. These parameters were compared to a control group of 134 cycles in 134 women with healthy Fallopian tubes. No differences were found. Implantation ratio, pregnancy rate and outcome were the same in both groups. We conclude that bilateral salpingectomy had no detrimental effect on ovarian performance during IVF and embryo transfer treatment nor on the outcome.

Adult↗

Establishment of 22 pregnancies after oocyte and embryo donation.

Donated oocytes inseminated with partner's semen or donated embryos were transferred on 95 occasions in 28 women without ovarian function and in 21 with functional ovaries. Overall, 22 pregnancies were established, 13 after the transfer of fresh embryos and nine after the transfer of frozen-thawed embryos. Eleven of the pregnancies were established in women without ovarian function and 11 in women with functional ovaries. Nine of the pregnancies were established with donated oocytes inseminated with partner's semen and 13 with donated embryos. Fifteen healthy infants were born including one set of twins; three pregnancies are progressing normally and five miscarried.

Adult↗

Survey on cryopreservation.

In this survey on cryopreservation of human embryos and oocytes, the results from 24 groups that reported replacements of cryopreserved embryos by the end of 1986 were summarized. So far 163 pregnancies have been reported, 65 children have been born, and 61 pregnancies were ongoing at the time of tabulation. The real impact of freezing and thawing of human embryos and oocytes in the treatment of infertility will require a careful analysis of all factors influencing the cryopreservation.

Abortion, Spontaneous↗

Successful in vitro fertilization with sperm cells from a man with immune infertility.

In vitro fertilization and embryo transfer was carried out in a couple that has been infertile for 7 years. High titers of antisperm autoantibodies in the husband's serum are (table, see text) believed to be the main cause of their infertility. Prolonged methylprednisolone treatment of the man combined with artificial insemination remained unsuccessful. In two IVF attempts embryos were obtained and replaced using capacitated sperm of the husband. A pregnancy was established in the second IVF cycle, but a spontaneous abortion followed after 6 weeks of amenorrhea.

Adult↗

The presence of creatine kinase BB isoenzyme in patients with prostatic cancer.

Creatine kinase BB isoenzyme (CK-BB) was detected in abnormal amounts in serum samples from 11 of 46 patients with Stage D carcinoma of the prostate by electrophoresis. Thirteen of 46 Stage D patients had elevated acid phosphatase values and 10 of these 13 had elevated CK-BB. CK-BB elevations were less frequent in earlier stages of prostatic cancer; Stage C: 0 of 35, Stage B: 1 of 26, Stage A: 0 of 3 and none in a group of 35 with BPH, prostatitis and bladder cancer. Results of CK-BB by a specific radioimmunoassay correlated well with those obtained by electrophoresis in most cases. Several patients were followed over time and data on CK-BB is presented for this interval. The origin of the CK-BB is still unclear. The BB isoenzyme predominates in prostatic tissue and CK-BB is the fetal form of the enzyme in human muscle and myocardium. The increase in serum CK-BB may be related to increased release of the isoenzyme, either from the prostate itself or from a metastatic lesion, or may represent a release of the fetal form of the enzyme from dedifferentiated tumor tissue.

Acid Phosphatase↗